DHHS-PHS, IHS TUCSON AREA, IHS TUCSON SAN XAVIER CLINIC (NPI# 1124081187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124081187 |
| Entity Type | Organization |
| Organization Name | DHHS-PHS, IHS TUCSON AREA, IHS TUCSON SAN XAVIER CLINIC |
| Other Organization Name | SAN XAVIER CLINIC |
| Practice Address |
7900 S J Stock Rd Tucson AZ 85746-7012 |
| Practice Telephone | 5202952427 |
| Practice Fax Number | 5202952611 |
| Mailing Telephone | 5202952427 |
| Mailing Fax Number | 5202952611 |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. KURT PRIESSMAN (ACCOUNTING AND BUDGET OFFICER) |
| Authorized Official Telephone | 5202952427 |
| Authorized Official Credential | B.A., M.B.A., C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 152W00000X | Optometrist | Eye and Vision Services Providers | ||
| X | 156FX1201X |
Technician/Technologist Specialization: Optometric Assistant |
Eye and Vision Services Providers | ||
| X | 156FX1202X |
Technician/Technologist Specialization: Optometric Technician |
Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 147133-03 | 05 | |
| AZ | FACILITY NPI # | 1437157302 | 01 |
| AZ | 706921-01 | 05 | |
| AZ | BC/BS OF AZ PROV # | AZ0209620 | 01 |
| Other Name | Type Code |
|---|---|
| SAN XAVIER CLINIC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841253887 | Dhhs-phs, Ihs Tucson Area, Ihs Tucson San Xavier Clinic | Nurse's Aide | 7900 S J Stock Rd, Tucson, AZ 85746-7012 | 2006-04-10 |
| 1649233685 | Dhhs-phs, Ihs Tucson Area, Ihs Tucson San Xavier Clinic | Physician Assistant | 7900 S J Stock Rd, Tucson, AZ 85746-7012 | 2006-04-10 |
| 1043273006 | Dhhs-phs, Ihs Tucson Area, Ihs Tucson San Xavier Clinic | Social Worker | 7900 S J Stock Rd, Tucson, AZ 85746-7012 | 2006-04-10 |
| 1285697151 | Dhhs-phs, Ihs Tucson Area, Ihs Tucson San Xavier Clinic | Driver | 7900 S J Stock Rd, Tucson, AZ 85746-7012 | 2006-04-10 |
| 1548223415 | Dhhs-phs, Ihs Tucson Area, Ihs Tucson San Xavier Clinic | Podiatrist | 7900 S J Stock Rd, Tucson, AZ 85746-7012 | 2006-04-10 |
| 1184687055 | Dhhs-phs, Ihs Tucson Area, Ihs Tucson San Xavier Clinic | Physical Therapy Assistant | 7900 S J Stock Rd, Tucson, AZ 85746-7012 | 2006-04-10 |
| 1629031596 | Dhhs-phs, Ihs Tucson Area, Ihs Tucson San Xavier Clinic | Spec/Tech, Pathology | 7900 S J Stock Rd, Tucson, AZ 85746-7012 | 2006-04-10 |
| Street Address |
7900 S J STOCK RD |
| City | TUCSON |
| State | AZ |
| Zip Code | 85746-7012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437157302 | Ton San Xavier Health Center | Clinic/Center | 7900 S J Stock Rd, Tucson, AZ 85746-7012 | 2005-07-13 |
| 1376187286 | Chantel Benally | Social Worker | 7900 S J Stock Rd, Tucson, AZ 85746-7012 | 2019-11-04 |
| 1285277335 | Karina Ruby Duenas | Social Worker | 7900 S J Stock Rd, Tucson, AZ 85746-7012 | 2019-10-22 |
| 1073178547 | Frances Ann Sharliene | Registered Nurse | 7900 S J Stock Rd, Tucson, AZ 85746-7012 | 2019-05-09 |
| 1154824233 | Tiffany Lynch | Registered Nurse | 7900 S J Stock Rd, Tucson, AZ 85746-7012 | 2018-03-14 |
| 1023526290 | Anabel Aguayo | Social Worker | 7900 S J Stock Rd, Tucson, AZ 85746-7012 | 2018-01-22 |
| 1508373762 | Beatrice Naliaka Muse | Registered Nurse | 7900 S J Stock Rd, Tucson, AZ 85746-7012 | 2018-01-09 |
| 1457862856 | Nichole Jasmine Hardy | Registered Nurse | 7900 S J Stock Rd, Tucson, AZ 85746-7012 | 2017-10-12 |
| 1306356324 | Lillian Marie Howden | Pharmacist | 7900 S J Stock Rd, Tucson, AZ 85746-7012 | 2017-10-04 |
| 1154844355 | Gabriel James Claymore Cuny | Pharmacist | 7900 S J Stock Rd, Tucson, AZ 85746-7012 | 2017-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497303465 | Sighle U Singh | Registered Nurse | San Xavier Clinic, 7900 S. J. Stock Rd, Tucson, AZ 85746 | 2019-09-03 |
| 1669026167 | Midvale Park Dental Partners LLC | Dentist | 1979 W Valencia Rd, Tucson, AZ 85746 | 2019-08-01 |
| 1073167854 | Michael Whiting | Dentist | 1979 West Valencia Road, Tucson, AZ 85746 | 2019-07-30 |
| 1609328350 | Tucson Orthopaedic Institute Professional Corporation | Physical Therapist | 10350 E. Drexel Rd. #130, Tucson, AZ 85746 | 2016-10-28 |
| 1790139624 | Jason Wilhoit | Counselor | 2345 N Castro Ave, Tucson, AZ 85746 | 2016-04-18 |
| 1851764344 | Yvonne M Escobar | Registered Nurse | 4400 W. Irvington Rd, Tucson, AZ 85746 | 2015-11-05 |
| 1841543626 | Dora Palacios | Contractor | 3042 W. Capistrano Rd., Tucson, AZ 85746 | 2012-10-18 |
| 1972854347 | Alfonzo Lopez II | Social Worker | 5436 South Camino De La Tiera, Tucson, AZ 85746 | 2012-09-26 |
| 1497030449 | Bhavin Patel | Pharmacist | 1550 W Valencia, Tucson, AZ 85746 | 2011-10-20 |
| 1427333012 | Brita A. Reams | Registered Nurse | 4700 S. Settler Avenue, Tucson, AZ 85746 | 2011-10-15 |
| Find all providers in zip 85746 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275143034 | Kelly Hart | Optometrist | 7111 N Oracle Rd, Tucson, AZ 85704-4331 | 2020-08-06 |
| 1184257347 | John Matthew Gill, Od and Associates | Optometrist | 4500 N. Oracle Road, Suite 423, Tucson, AZ 85705 | 2020-02-17 |
| 1043868912 | Rizwan Jamil | Optometrist | 5860 W Arizona Pavilions Dr Ste 102, Tucson, AZ 85743-7364 | 2019-09-03 |
| 1679126536 | Katelyn Hurliman | Optometrist | 1370 N Silverbell Rd Ste 140, Tucson, AZ 85745-2290 | 2019-07-19 |
| 1134783392 | Stephanie Hilde | Optometrist | 7041 E Tanque Verde Rd, Tucson, AZ 85715-5311 | 2019-04-23 |
| 1174186746 | Nationwide Optometry PC | Optometrist | 9160 S Houghton Rd Ste 140, Tucson, AZ 85747-9736 | 2019-04-18 |
| 1932762861 | Mahdi Hedayat | Optometrist | 1785 W Valencia Rd Unit 101, Tucson, AZ 85746-6511 | 2019-04-16 |
| 1497237408 | Ryan James Dugan | Optometrist | 3601 S 6th Ave Bldg 80, Tucson, AZ 85723-0001 | 2018-09-06 |
| 1194214890 | Joseph Kowalski | Optometrist | 4631 N Oracle Rd Ste 175, Tucson, AZ 85705-1785 | 2018-05-08 |
| 1316453053 | David William Shurtz | Optometrist | 6572 E Grant Rd, Tucson, AZ 85715-3810 | 2017-12-18 |
| Find all providers in TUCSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.